Individual
DR. MARY C FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 DELAFIELD ST, SUITE1, WAUKESHA, WI 53188-3417
(262) 547-1614
(262) 547-0192
Mailing address
1111 DELAFIELD ST, SUITE1, WAUKESHA, WI 53188-3417
(262) 547-1614
(262) 547-0192
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
37998
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34012700
—
WI
Enumeration date
02/17/2006
Last updated
04/03/2008
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